Author/Editor		Strojan, Primož; Debevec, Miha; Kovač, Viljem
Title		Pancoastov tumor
Translated title		Pancoast tumor
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 67, št. 1
Publication year		1998
Volume		str. 9-12
Language		slo
Abstract		Background. Pancoast tumor (PT) - called also superior sulcus tumor - is a tumor situated in the apex of the lung, dorsally in the costovertebral sulcus, at a level between the first and the fort rib. Spread of the tumor into the structures found in this part of the thorax causing pain and Horner's syndrome. Combined modality treatment with preoperative radiotherapy and en bloc resectionof the tumor and thoracic wall has been found as a method to yield the best results. Owing to late diagnosis a majority of patients only receive radiotherapy, usually with palliative intent.It is indisputable that radiotherapy contributes to an effective pain control, which improves considerably the quality of patient's survival. Methods. The article is concerned with symptoms, diagnostics, pathology, classification, therapy and prognosis of PT, as well as with the analysis of 48 patients with PT treated at the Institute of Oncology in Ljubljana in the period between the years 1981-1994. Conclusions. PT is a rare type of cancer - it represents only 0.5% of all lung cancers in Slovenia. The course ofdisease is relatively slow. The diagnosis based onX-ray imaging of the lung (including CT and MRI). The best survival rates are obtained by combination of preoperative radiotherapy and surgery. Radiotherapy has an important role in pain relief.
Summary		Izhodišča. Pancoastov tumor (PT) - imenujejo ga tudi tumor zgornjega pljučnega sulkusa - je tumor v pljučnem vrhu, dorzalno v kosto-vertebralnem sulkusu, v višini od 1. do 4. rebra. Širjenje tumorja v strukture, ki se nahajajo v tem predelu prsnega koša, povzroča značilno bolečino in Hornerjev sindrom. Kombinirano zdravljenje s predoperativnim obsevanjem in resekcijotumorja en bloc ter stene prsnega koša velja danes za metodo, ki daje najboljše rezultate. Zaradi zakasnele diagnoze ostaja večina bolnikov s PT samo pri obsevanju. To je običajno paliativno, vendar učinkovito prispeva k lajšanju bolečine, s tem pa bistveno vpliva na kakovost bolnikove preživetja. Metode. Prispevek prikazuje simptomatiko, diagnostiko, patologijo, klasifikacijo, zdravljenje in prognozo PT ter analizira 48 bolnikov s PT, zdravljenih na Onkološkem inštitut v Ljubljani v obdobju 1981-1994. Zaključki. PT je redka vrsta raka - v Slovenij je bilo v 14-letnem obdobju komaj 0,5% tega pljučnega raka. Bolezen poteka počasi. Diagnoza sloni na rentgenskem slikanju pljuč (vključno CT in MR). Najboljše rezultate daje kombinacija predoperativnega obsevanja in operacije. Obsevanje ima pomembno vlogo pri ublažitvi bolečine.
Descriptors		LUNG NEOPLASMS PANCOAST'S SYNDROME HORNER'S SYNDROME PROGNOSIS